Erin Christine Fray

Individual provider Active NPI Speech-Language Pathologist · Atlantic, IA

NPI 1689173742 · NPPES record last updated Feb 5, 2018

Key facts

NPI
1689173742
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
090432 (IA)
Practice address
1501 E 10TH St
Atlantic, IA 50022-1936
Phone
(712) 285-8200
NPI assigned
Feb 5, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
090432IAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 090432 IA Yes

Addresses

Primary practice location

1501 E 10TH St
Atlantic, IA 50022-1936

Mailing address

4215 Grand Ave Apt 101
Des Moines, IA 50312-2432
Phone (515) 370-4722

Other providers in Atlantic, IA

All providers in Atlantic, IA · Speech-Language Pathologist in Iowa

Sources for this page

Verify at the official NPI Registry.